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STACEY HENDERSON MD
NPI 1649666405
Emergency Medicine in Shreveport, LA

Active since April 08, 2015PECOS EnrolledAccepts Medicare Assignment
2510 BERT KOUN LOOP, SHREVEPORT, LA 71118(318) 212-4000 Get Directions Write a Review

NPPES record last updated: May 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacey Henderson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY HENDERSON MD (NPI 1649666405) is an individual emergency medicine provider in Shreveport, Louisiana, licensed in Louisiana (308050) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Ochsner Lsu Health Shreveport, and maintains a secondary practice location in Shreveport.

NPPES Registry Identity

NPI1649666405
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameSTACEY HENDERSONCredential: MD
Location Address2510 BERT KOUN LOOPShreveport, LA 71118-3119
Mailing Address939 Highway 171Stonewall, LA 71078-9595 · (318) 925-8825
Phone(318) 212-4000
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2015
Enumeration DateApril 8, 2015
Last NPPES UpdateMay 14, 2018
✔ NPI 1649666405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in LA · 308050
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2510 BERT KOUN LOOP, Shreveport, LA 71118
Open in Google Maps ↗

Secondary Practice Location 1

Location 11501 Kings Hwy, EMShreveport, LA 71103-4228 · Phone (318) 675-6632

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stacey Henderson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688972060
PECOS Enrollment IDI20180508001452
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
42 services40 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
26 services26 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ochsner Lsu Health Shreveport

Acute Care Hospitals · Shreveport, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190098
Location1541 Kings HighwayShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MINH Q TRAN M.D.
Pediatrics (Pediatric Critical Care Medicine)
2510 BERT KOUN LOOP, ROOM 4003
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5665

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Henderson's NPI number?

The NPI number for Stacey Henderson is 1649666405. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Where is Stacey Henderson located?

Stacey Henderson practices at 2510 Bert Koun Loop, Shreveport, LA 71118. The listed phone number is (318) 212-4000.

What is Stacey Henderson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Stacey Henderson enrolled in Medicare?

Yes. Stacey Henderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stacey Henderson accept?

Health plans from HMO Louisiana list Stacey Henderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Stacey Henderson affiliated with any hospitals?

According to CMS data, Stacey Henderson is affiliated with Ochsner Lsu Health Shreveport.

When was this NPI record last updated?

The NPPES record for Stacey Henderson was last updated on May 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.